PMID- 21654754 OWN - NLM STAT- MEDLINE DCOM- 20120110 LR - 20161125 IS - 1348-4214 (Electronic) IS - 0916-9636 (Linking) VI - 34 IP - 9 DP - 2011 Sep TI - Endothelial progenitor cells relationships with clinical and biochemical factors in a human model of blunted angiotensin II signaling. PG - 1017-22 LID - 10.1038/hr.2011.72 [doi] AB - Angiotensin II (Ang II) is essential for endothelial progenitor cells (EPCs) function as Ang-II-induced oxidative stress causes senescence of EPCs and endothelial dysfunction and Ang II type 1 receptor blockers increase EPCs. Moreover, EPCs activity is dependent on nitric oxide (NO) and heme oxygenase (HO)-1 as these correlate with EPCs senescence and are reduced in hypertensives. Bartter's/Gitelman's syndrome patients (BS/GS), have increased Ang II yet normo/hypotension along with blunted Ang II signaling, reduced oxidative stress, increased NO and HO-1, thus presenting a unique system to explore EPC biology and its relationship with vascular clinical and biochemical correlates. Circulating EPCs, NO-dependent vasodilation (flow-mediated dilation (FMD)) and HO-1 gene expression were characterized in 10 BS/GS patients and in 10 normotensive subjects. EPCs defined by cell surface antigens CD34+kinase-insert domain receptor (KDR+), CD133+KDR+ and CD133+CD34+KDR+ cells were quantitiated via direct three-color flow-cytometry analysis, HO-1 gene expression by reverse transcription-PCR and FMD by B-mode echo scan of the right brachial artery. Correlation analysis was carried out regarding FMD and EPCs, FMD and HO-1 and EPCs and HO-1. In BS/GS, CD34+KDR+ cell numbers did not differ from controls while CD133+KDR+ and CD133+CD34+KDR+ cell numbers were higher. HO-1 gene expression, as well as FMD, was higher in BS/GS compared with controls. Both CD133+KDR+ and CD133+CD34+KDR+ strongly correlated with both FMD and HO-1. FMD and HO-1 were also strongly correlated. These results document in a human system that EPC numbers and specific populations are related to important clinical and biochemical factors involved in cardiovascular (CV) status and reaffirm the utility of BS/GS patients as a useful system to investigate EPC's role(s) in the pathophysiology of cardiovascular remodeling in humans. FAU - Calo, Lorenzo A AU - Calo LA AD - Department of Clinical and Experimental Medicine, Clinica Medica 4, School of Medicine, University of Padova, Padova, Italy. renzcalo@unipd.it FAU - Facco, Monica AU - Facco M FAU - Davis, Paul A AU - Davis PA FAU - Pagnin, Elisa AU - Pagnin E FAU - Maso, Lucia Dal AU - Maso LD FAU - Puato, Massimo AU - Puato M FAU - Caielli, Paola AU - Caielli P FAU - Agostini, Carlo AU - Agostini C FAU - Pessina, Achille C AU - Pessina AC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110609 PL - England TA - Hypertens Res JT - Hypertension research : official journal of the Japanese Society of Hypertension JID - 9307690 RN - 0 (AC133 Antigen) RN - 0 (Antigens, CD) RN - 0 (Antigens, CD34) RN - 0 (Glycoproteins) RN - 0 (PROM1 protein, human) RN - 0 (Peptides) RN - 11128-99-7 (Angiotensin II) RN - 31C4KY9ESH (Nitric Oxide) RN - EC 1.14.14.18 (HMOX1 protein, human) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM CIN - Hypertens Res. 2011 Sep;34(9):989-90. PMID: 21697851 MH - AC133 Antigen MH - Adult MH - Angiotensin II/*physiology MH - Antigens, CD/physiology MH - Antigens, CD34/physiology MH - Bartter Syndrome/genetics/*physiopathology MH - Brachial Artery/physiology/physiopathology MH - Endothelial Cells/*physiology MH - Female MH - Gitelman Syndrome/genetics/*physiopathology MH - Glycoproteins/physiology MH - Heme Oxygenase-1/genetics/physiology MH - Humans MH - Male MH - Middle Aged MH - Nitric Oxide/physiology MH - Peptides/physiology MH - Signal Transduction MH - Stem Cells/*physiology MH - Vascular Endothelial Growth Factor Receptor-2/physiology MH - Vasodilation/physiology EDAT- 2011/06/10 06:00 MHDA- 2012/01/11 06:00 CRDT- 2011/06/10 06:00 PHST- 2011/06/10 06:00 [entrez] PHST- 2011/06/10 06:00 [pubmed] PHST- 2012/01/11 06:00 [medline] AID - hr201172 [pii] AID - 10.1038/hr.2011.72 [doi] PST - ppublish SO - Hypertens Res. 2011 Sep;34(9):1017-22. doi: 10.1038/hr.2011.72. Epub 2011 Jun 9.